What are the EASL clinical practice guidelines on vascular diseases of the liver?

Updated: Oct 10, 2018
  • Author: Praveen K Roy, MD, AGAF; Chief Editor: BS Anand, MD  more...
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Answer

The EASL clinical practice guidelines on vascular diseases of the liver includes the following recommendations [48] :

  • The diagnosis of Budd-Chiari syndrome should be considered in all patients with symptomatic or asyptomatic acute or chronic liver disease.

  • The first-line diagnostic study is Doppler ultrasonography; magnetic resonance imaging (MRI) and computed tomography (CT) scanning are for diagnostic confirmation. In the setting of negative imaging studies but high clinical suspicion of Budd-Chiari syndrome, reevaluate the patient with the help of an expert radiologist.

  • Refer all patients with Budd-Chiari syndrome to institutions with expertise in this condition.

  • Patients with Budd-Chiari syndrome should be screened for hepatocellular carcinoma. Referral to expert centers may be necessary to determine whether liver nodules are benign or malignant.


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